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Treatment of refractory cancers using Na+/K+-ATPase inhibitors

a technology of atpase inhibitors and refractory cancers, which is applied in the direction of biocide, drug composition, animal husbandry, etc., can solve the problems of refractory cancer being a serious problem, drug resistance eventually developing shortly, and often fatal, so as to promote tumor growth, promote cell survival, and promote stress response in tumor cells

Inactive Publication Date: 2008-01-31
BIONAUT PHARMA
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0007] The inventors have discovered that certain anti-tumor agents, in addition to their cancer-killing effects, in fact also promote stress responses in tumor cells. Such stress response protects cells from programmed cell death and promotes tumor growth, by promoting cell survival through induction of growth factors and pro-angiogenesis factors, and by activating anaerobic metabolism, which have a direct negative consequence on clinical and prognostic parameters, and create a therapeutic challenge, including refractory cancer.
[0013] Thus a salient feature of the present invention is the discovery that Na+ / K+-ATPase inhibitors, such as cardiac glycosides, can be used to effectively treat at least certain cancers refractory to conventional chemo- and / or radio-therapy.
[0034] In certain embodiments, the total daily dose may be administered as a single dose for, e.g., patient convenience, and / or better patient compliance.
[0035] In certain embodiments, the Cmax is kept low by administering the total daily dosage over multiple doses (e.g., 2-5 doses, or 3 doses). This may be beneficial for patients who exibits certain side effects such as nausea and vomiting, for patients with weak heart muscles, or who otherwise do not tolerate relatively high doses or Cmax well.

Problems solved by technology

In almost all cases, drug resistance eventually develops shortly and is often fatal.
Regardless of the mechanism, refractory cancer is a serious problem because it signals the failure of conventional cancer therapy.

Method used

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  • Treatment of refractory cancers using Na+/K+-ATPase inhibitors
  • Treatment of refractory cancers using Na+/K+-ATPase inhibitors
  • Treatment of refractory cancers using Na+/K+-ATPase inhibitors

Examples

Experimental program
Comparison scheme
Effect test

example i

Sentinel Line Plasmid Construction and Virus Preparation

[0226]FIG. 1 is a schematic drawing of the Sentinel Line promoter trap system, and its use in identifying regulated genetic sites and in reporting pathway activity. Briefly, the promoter-less selection markers (either positive or negative selection markers, or both) and reporter genes (such as beta-gal) are put in a retroviral vector (or other suitable vectors), which can be used to infect target cells. The randomly inserted retroviral vectors may be so positioned that an active upstream heterologous promoter may initiate the transcription and translation of the selectable markers and reporter gene(s). The expression of such selectable markers and / or reporter genes is indicative of active genetic sites in the particular host cell.

[0227] In one exemplary embodiment, the promoter trap vector BV7 was derived from retrovirus vector pQCXIX (BD Biosciences Clontech) by replacing sequence in between packaging signal (Psi+) and 3′ LT...

example ii

Sentinel Line Generation

[0229] Target cells were plated in 150 mm tissue culture dishes at a density of about 1×106 / plate. The following morning cells were infected with 250 μl of Bionaut Virus #7 (BV7) as prepared in Example 1, and after 48 hr incubation, 20 μg / ml of phleomycin was added. 4 days later, media was changed to a reduced serum (2% FBS) DMEM to allow the cells to rest. 48 h later, ganciclovir (GCV) (0.4 μM, sigma) was added for 4 days (media was refreshed on day 2). One more round of phleomycin selection followed (20 μg / ml phleomycin for 3 days). Upon completion, media was changed to 20% FBS DMEM to facilitate the outgrowths of the clones. 10 days later, clones were picked and expanded for further analysis and screening.

[0230] Using this method, several Sentinel Lines were generated to report activity of genetic sites activated by hypoxia pathways (FIG. 4). These Sentinel lines were generated by transfecting A549 (NSCLC lung cancer) and Panc-1 (pancreatic cancer) cell ...

example iii

Cell Culture and Hypoxic Conditions

[0231] All cell lines can be purchased from ATCC, or obtained from other sources.

[0232] A549 (CCL-185) and Panc-1 (CRL-1469) were cultured in Dulbecco's Modified Eagle's Medium (DMEM), Caki-1 (HTB-46) in McCoy's 5a modified medium, Hep3B (HB-8064) in MEM-Eagle medium in humidified atmosphere containing 5% CO2 at 37° C. Media was supplemented with 10% FBS (Hyclone; SH30070.03), 100 μg / ml penicillin and 50 μg / ml streptomycin (Hyclone).

[0233] To induce hypoxia conditions, cells were placed in a Billups-Rothenberg modular incubator chamber and flushed with artificial atmosphere gas mixture (5% CO2, 1% O2, and balance N2). The hypoxia chamber was then placed in a 37° C. incubator. L-mimosine (Sigma, M-0253) was used to induce hypoxia-like HIF 1-alpha expression. Proteasome inhibitor, MG132 (Calbiochem, 474791), was used to protect the degradation of HIF1-alpha. Cycloheximide (Sigma, 4859) was used to inhibit new protein synthesis of HIF1-alpha. Catal...

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Abstract

The reagent, pharmaceutical formulation, kit, and methods of the invention provides a new approach to treat refractory cancers using Na+ / K+-ATPase inhibitors, such as cardiac glycosides, including bufadienolides or their corresponding aglycones (e.g., proscillaridin, scillaren, and scillarenin, etc.), especially in oral formulations and / or solid dosage forms containing more than 1 mg of active ingredients.

Description

REFERENCE TO RELATED APPLICATION [0001] This application is a continuation-in-part application of U.S. Ser. No. 11 / 218,332, filed on Sep. 1, 2005, which claims the benefit of the filing date of U.S. Provisional Application Ser. No. 60 / 606,777, entitled “TREATMENTS OF REFRACTORY CANCERS USING CARDIAC GLYCOSIDES AND OTHER Na+ / K+-ATPASE INHIBITORS,” and filed on Sep. 2, 2004. The teachings of the referenced applications are incorporated herein by reference.BACKGROUND OF THE INVENTION [0002] Clinical drug resistance, either intrinsic or acquired, is a major barrier to overcome before chemotherapy can become curative for most patients presenting with cancer. In many common cancers (for example, non-small cell lung, testicular and ovarian cancers), substantial tumor shrinkage can be expected in more than 50% of cases with conventional chemotherapy. In other cases, response rates are lower; 10-20% of patients with renal cell carcinoma, pancreatic and esophageal cancers respond to treatment...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/57A61K31/704A61P35/00
CPCA61K31/7072A61K31/513A61P35/00
Inventor KHODADOUST, MEHRANSHARMA, AJAYBRUENING, REIMAR
Owner BIONAUT PHARMA
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